Wstrząs septyczny po poronieniu 21-tygodniowej ciąży – opis przypadku

Abstract

Septic shock is a rare but dramatic complication in obstetrics with a high mortality rate. In the course of thiscondition, cardiovascular failure, severe hypotension and multiorgan dysfunction are observed. Usually, septicshock is also associated with disturbed coagulation. In our report, we present a case of septic shock caused byEscherichia coli after spontaneous abortion in the 21st gestational week of pregnancy in a 40-year-old woman.During intensive care, besides broad-spectrum antibiotics, hysterectomy was performed and activated protein Cwas administered. In our opinion, this treatment modality significantly improved the outcome in our patient.

Keywords

• septic shock
• pregnancy
• spontaneous abortion
• hysterectomy
• activated protein C